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Query: UMLS:C0017160 (gastroenteritis)
 11,398 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Transmissible gastroenteritis or TGE is a virus diarrhoea which occurs in pigs of all ages and is associated with high mortality rates in the young piglets. Growth of virus in the columnar epithelium of the small intestine causes atrophy of the intestinal villi, malabsorption, watery diarrhoea and dehydration. Faecal excretion of virus usually continues up to fourteen days after infection but chronic carriers have been found to occur. TGE is self-limiting on the majority of pig-breeding farms but the virus may persist in particular conditions and an enzootic form of the disease will appear in this case. In typical outbreaks, the diagnosis can usually be based on clinical symptoms. When the disease runs an enzootic course, a clinical diagnosis will be out of the question. TGE should be differentiated from colibacillosis and from another virus diarrhoea, the aetiology of which is not precisely known. A rapid and correct diagnosis may be established by direct fluorescent antibody studies of frozen sections of the small intestine in infected piglets. When sows have been spontaneously infected, their offspring will be protected by lactogenic immunity. The presence of TGE antibodies of IgA class in the milk is required to ensure complete immunity of the piglets lasting for weeks on end. Intramuscular inoculation of a commercially available vaccine in sows will only stimulate the production of antibodies of the IgG class in the milk. These antibodies will merely afford short-lived immunity. The vaccine cannot prevent symptoms of disease from appearing in piglets following infection with virulent TGE virus but it does reduce mortality
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PMID:[Transmissible Gastroenteritis in Swine (author's transl)]. 17 23

The absorption of D-xylose infused into the duodenum was assessed in infants with acute gastroenteritis. 1-hour blood-xylose levels were low in 6 patients found to harbour rotavirus in the small intestinal aspirate. Normal levels (greater than 1-26 mmol/l) were obtained in the absence of virus particles in the small intestine in a further 6 patients: in 3 of these adenovirus or rotavirus was recovered from the stools. Three patients with adenovirus in the small intestinal juice and ill with acute gastroenteritis also had low xylose levels. This finding supports earlier epidemiological studies that adenovirus may be a causative agent of acute infantile gastroenteritis. The association between virus in the small intestine and xylose malabsorption may indicate mucosal damage. Formal proff of this is awaited.
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PMID:Intestinal damage in rotavirus and adenovirus gastroenteritis assessed by d-xylose malabsorption. 19 41

The peak rise in breath hydrogen and the volume of excess pulmonary excretion of hydrogen in response to a 10 g dose of the non-abosorbable disaccharide, lactulose, was significantly lower in children with active gastroenteritis and diarrhea than in nondiarrheal controls. Thus, despite the fact that the H2 breath test is a convenient, noninvasive technology for use in children, it cannot be recommended for measuring carbohydrate malabsorption in individuals with active, on-going episodes of diarrhea.
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PMID:H2 breath tests during diarrhea. 41 85

Chronic nonspecific diarrhea is a frequent cause of prolonged diarrhea in childhood. Typical diagnostic features include onset by 30 months of age, normal growth and development, and diarrhea lasting longer than two weeks. It usually follows a gastroenteritis or an acute infection and has been associated with a low intake of dietary fat. Five patients experienced this condition following dietary manipulation to prevent the occurrence of atheromatous coronary artery disease. This indicates that diminished dietary fat not only can prolong postinfectious diarrhea but can also induce a state of chronic diarrhea without evidence of malabsorption.
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PMID:Chronic nonspecific diarrhea. A complication of dietary fat restriction. 43 73

A study was conducted among 234 Bangladeshi children to determine LM (lactose malabsorption) and its relation with age, history of diarrhea, nutrition, and breastfeeding. LM was determined by using BHT (breath hydrogen test) which showed similar results to a modified lactose tolerance test conducted in hospitals. BHT results indicated that 80% of the children over 36 months had LM while all infants less than 6 months absorbed lactose completely. With recent incidences of diarrhea and acute malnutrition the rates of LM increased. In addition, children who were still breastfeeding had a lower rate of LM than weaned children perhaps since breastfed children suffer less from gastroenteritis and diarrhea or because some component of breast milk protects against LM. The United Nation's Protein Advisory Group encourages milk consumption but other reports cite increased mortality rates and slower recovery when malnourished children were supplied lactose-containing milk. It is suggested that milk be distributed in low doses in areas where there are high LM rates.
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PMID:Lactose malabsorption in Bangladeshi village children: relation with age, history of recent diarrhea, nutritional status, and breast feeding. 47 86

This paper focuses on recent advances by the Indonesian Pediatric Gastroenterology in the field of diarrheal diseases: 1) the 'ROSE' system as the principle of treatment of diarrhea. It has been proven to be effective in reducing mortality rate of acute gastroenteritis, particularly cholera. R stands for rehydration, preferably with Ringer's lactate solution. O for Oralyte or oral glucose electrolyte, S for simultaneous rehydration (intravenously and orally), and E for educating parents in oral rehydration. 2) MCT and low lactose-containing formula in low birthweight infants give good to excellent results in improving fat malabsorption, elimination of diarrhea, and increase of body weight. 3) the use of the pediatric Enterotest duodenal capsule to study the upper intestinal microflora. The capsule consists of a number 1 size gelatin capsule (20 mm x 6 mm) containing a silicone rubber bag with an attached fine yarn line 90 cm long. The free end of the line is taped to the cheek and the patient swallows the capsule. After a certain period of time, the line is pulled out and intestinal secretions are scraped from the line and immediately examined under the microscope. Enterotest is particularly useful where radiologic examination is not available. 4) this report is the 1st to document virus particles in fecal specimens from Indonesian children, and suggests that viruses may be important etiological agents in diarrheal diseases in Indonesia, where malnutrition and diarrhea are important health problems.
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PMID:Recent advances in the Indonesian paediatric gastroenterology. 65 63

In most developing countries like Indonesia, problems of malabsorption syndrome are commonly related with: 1) gastroenteritis; 2) protein calorie malnutrition (PCM); 3) low birthweight and post bowel surgery; and 4) infection or parasite of the small bowel in the malnourished child. Two factors which cause sugar intolerance in Indonesian children are the high incidence of gastroenteritis and PCM, and being unused to drink milk after weaning. The presence of overgrowth of bacteria in the malnourished child can cause sugar intolerance indirectly through gastroenteritis. The high incidence of PCM, LBW and gastroenteritis in Indonesian children also result in a high incidence of fat malabsorption. Management of malabsorption syndrome in diarrheal children with or without malnutrition include: 1) correction of fluid and electrolyte imbalance; 2) treatment of predisposing condition; and 3) temporary withdrawal of any lactose in the diet or giving lactose low formula, beside MCT (medium chain triglycerides) or UFA (unsaturated fatty acids). The 1st choice in treating fat malabsorption is the use of MCT in the milk formula; the 2nd choice is UFA.
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PMID:Problems and solution of malabsorption syndrome in Indonesia. 65 62

Tropical enteropathy, which may be related to tropical sprue, has been described in many developing countries including parts of Africa. The jejunal changes of enteropathy are seen in Rhodesians of all social and racial categories. Xylose excretion, however, is related to socioeconomic status, but not race. Upper socioeconomic Africans and Europeans excrete significantly more xylose than lower socioeconomic Africans. Vitamin B12 and fat absorption are normal, suggesting predominant involvement of the proximal small intestine. Tropical enteropathy in Rhodesia is similar to that seen in Nigeria but is associated with less malabsorption than is found in the Caribbean, the Indian subcontinent, and South East Asia. The possible aetiological factors are discussed. It is postulated that the lighter exposure of upper class Africans and Europeans to repeated gastrointestinal infections may accound for their superior xylose absorption compared with Africans of low socioeconomic circumstances. It is further suggested that the milder enteropathy seen in Africa may be explained by a lower prevalence of acute gastroenteritis than in experienced elsewhere in the tropics.
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PMID:Tropical enteropathy in Rhodesia. 100 78

Daily fecal weight is the feature most useful in defining diarrhea, as normal weights for various societies are known. Diarrhea is associated with increased fecal water excretion, with heightened sensitivity of the rectal mucosa, and with exudation of mucus. It occurs acutely, as in gastroenteritis, bacterial dysenteries, and parasitic infections, and chronically, as in functional disorders, malabsorption syndromes, and inflammatory bowel disease. Many seemingly unrelated diseases can also cause diarrhea. The patient's history as well as macroscopic, microscopic, and chemical analysis of stools will offer major clues to the cause of the ciarrhea.
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PMID:Diarrhea: pathogenesis and diagnostic techniques. 110 98

A standardized oral fat load has been given to 66 children having duodenal or jejunal biopsy, and to 10 children presumed normal. The rise in plasma light scattering intensity (LSI) measured by nephelometry between the fasting and 2-hour postload level (0-2 hour) showed good correlation with the small intestinal morphology in patients suspected of having coeliac disease. In those who had had recurrent diarrhoea and gastroenteritis, the fat load test did not predict small intestinal morphology. Serial studies in 5 treated patients with malabsorption showed increase in the 0-to 2-hour LSI, with corresponding improvement of small intestinal morphology and clinical state.
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PMID:Changes in plasma nephelometry after oral fat loading in children with normal and abnormal small intestinal morphology. 120 Jun 79


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